PARKWEST MEDICAL CENTER (NPI# 1801878830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801878830 |
| Entity Type | Organization |
| Organization Name | PARKWEST MEDICAL CENTER |
| Other Organization Name | PENINSULA OUTPATIENT CENTER |
| Practice Address |
520 Cook St Madisonville TN 37354-1508 |
| Mailing Address |
Po Box 1999 Louisville TN 37777-1999 |
| Practice Telephone | 8659709800 |
| Practice Fax Number | 8653801461 |
| Mailing Telephone | 8659701295 |
| Mailing Fax Number | 8653801461 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN T GEPPI (EXECUTIVE VICE PRESIDENT CFO) |
| Authorized Official Telephone | 8653746872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
L 214-076-1469 | TN | Ambulatory Health Care Facilities |
| X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
L 214-076-1469 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0440173 | 05 |
| Other Name | Type Code |
|---|---|
| Peninsula Outpatient Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366785867 | Parkwest Medical Center | Pharmacy | 220 Fort Sanders West Blvd Ste 104, Knoxville, TN 37922-3373 | 2013-04-03 |
| 1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
| 1154303162 | Parkwest Medical Center | Clinic/Center | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2005-11-16 |
| 1558343566 | Parkwest Medical Center | Psychiatric Hospital | 2347 Jones Bend Rd, Louisville, TN 37777-5213 | 2005-11-16 |
| 1508848516 | Parkwest Medical Center | Clinic/Center | 124 N Henderson Ave, Sevierville, TN 37862 | 2005-11-16 |
| 1922080936 | Parkwest Medical Center | Clinic/Center | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2005-11-16 |
| 1396739165 | Parkwest Medical Center | Clinic/Center | 9352 Parkwest Blvd, Knoxville, TN 37923 | 2005-09-07 |
| 1851369243 | Parkwest Medical Center | Psychiatric Unit | 9352 Parkwest Blvd, Knoxville, TN 37923 | 2006-03-10 |
| 1699757609 | Parkwest Medical Center | Clinic/Center | 210 Simmons St, Maryville, TN 37801-4750 | 2005-11-16 |
| Street Address |
520 COOK ST |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013167147 | Gregory Preston | Contractor | 520 Cook St, Suite D, Madisonville, TN 37354-1508 | 2008-09-25 |
| 1093992109 | Angelia D Martin | Licensed Practical Nurse | 520 Cook St, Suite I, Madisonville, TN 37354-1508 | 2008-01-31 |
| 1346469996 | Jason K Williams | Counselor | 520 Cook St, Suite I, Madisonville, TN 37354-1508 | 2007-04-24 |
| 1801914387 | Myrtie S Tolson | Counselor | 520 Cook St, Suite I, Madisonville, TN 37354-1508 | 2007-03-26 |
| 1346367125 | Joseph K Murphy | Counselor | 520 Cook St, Suite I, Madisonville, TN 37354-1508 | 2007-03-25 |
| 1073630851 | Crystal A Russell | Counselor | 520 Cook St, Suite I, Madisonville, TN 37354-1508 | 2007-03-25 |
| 1184741969 | Susan M Knight | Counselor | 520 Cook St, Suite I, Madisonville, TN 37354-1508 | 2007-03-25 |
| 1619094497 | James K Mccollum | Counselor | 520 Cook St, Suite I, Madisonville, TN 37354-1508 | 2007-03-25 |
| 1336222637 | Amy Elizabeth Woody | Speech-Language Pathologist | 520 Cook St, Suite D, Madisonville, TN 37354-1508 | 2006-10-23 |
| 1972686194 | Daniel Long | Specialist | 520 Cook St, Suite D, Madisonville, TN 37354-1508 | 2006-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| Find all providers in zip 37354 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919108 | Ten Broeck Tennessee Physicians | Clinic/Center | 100 W Cross St, Madisonville, TX 77864-2432 | 2019-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679195036 | Mckenzie Medical Center PC | Clinic/Center | 205 Hospital Dr Ste C, Mc Kenzie, TN 38201-1649 | 2020-05-08 |
| 1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
| 1942832506 | Arrow of Hope Counseling Center, Pllc | Clinic/Center | 130 Hillcrest Dr Ste 105, Clarksville, TN 37043-5064 | 2020-02-11 |
| 1184269573 | Greeneville Counseling and Consultation | Clinic/Center | 1107 Temple St Ste 406, Greeneville, TN 37745-6357 | 2019-11-09 |
| 1033752597 | Tms of East Tennessee Pllc | Clinic/Center | 10241 Kingston Pike Ste 2, Knoxville, TN 37922-3240 | 2019-10-28 |
| 1104469931 | Trailhead Treatment Center | Clinic/Center | 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 | 2019-10-24 |
| 1801437785 | Open Door Treatment Center Inc | Clinic/Center | 3622 Merritt St, Memphis, TN 38128-3734 | 2019-10-02 |
| 1316597354 | Innovative Care Solutions | Clinic/Center | 4582 W Andrew Johnson Hwy, Morristown, TN 37814-1038 | 2019-09-11 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1073165254 | Faraday Chattanooga PC | Clinic/Center | 6031 Shallowford Rd Ste 113, Chattanooga, TN 37421-1984 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.